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Hilary publishes a book!

We are pleased to announce that Hilary recently published a book! From the back cover: 

In Through the Open Door, award-winning author Hilary Chaney takes you places you can only imagine: a psychiatric hospital, a manic state, and Heaven on Earth. She chronicles her battle with and subsequent triumph over Bipolar Disorder, including her travails in law school and her ups and downs through two pregnancies. Hilary doesn't just report her story; she also offers coping tools for fellow Bipolars. Through the Open Door also offers a gift to those on the quest to find Heaven: it imparts the revelations Hilary experienced during her manic episodes, when she walked in Heaven on Earth and experienced a post-religion utopia. The imaginative and poetic writing sets this book apart, and few manic biographies give the reader an actual glimpse of the Bipolar brain like Hilary does, for she has included her manic journal in the addendum. The journal is raw and riveting, and recorded exactly as it flew from her fingertips. This book is a must read for those struggling with the scourge of mental illness and for those who have ever sought spiritual answers to our most profound mysteries.

You can order yours today on Amazon.

 

Banish the Paper Blizzard, Part 6: Conclusion

In our firm, being paperless unquestionably increases the efficiency of our attorneys.  In most circumstances, we travel to depositions, mediations, and hearings with laptops instead of bankers’ boxes.  Our staff and our attorneys are comfortable with the system we have in place, which allows us to reduce the amount of physical space (and cost) we dedicate to the storage of paper files.  We believe our transition to a paperless office has been a success.

I want your transition to a paperless office to be a success as well.  I hope this series has encouraged you to look differently at your current office configuration and has challenged you to question whether you are as efficient with managing your practice as you could be.

Questions and Tips for Talking to Your Doctor

We're doing a little cleaning around the office, and I found a nice list of questions to ask a doctor. The list came from ucomparehealthcare.com, but the list is no longer on that site. So, I'm reprinting it here:

Key subjects for the patient to consider

  1. Remember, you are the one most interested in your health.
  2. You, the patient, are the most important source of communication with doctors.
  3. Before your visit, take the time to get your medical facts in order so that you can explain what you know to the doctor. This should include any medications that you take and their dosages; any other doctors that you have recently seen; their addresses and phone numbers; and the reasons why you went to see them.
  4. It is important that you listen closely to your doctor and understand what he or she is explaining to you.
  5. If you have trouble understanding the medical terminology, see if a family member can go with you to assist you in understanding or to take notes for you.
  6. Hand washing is a very effective way of reducing the transmission of various kinds of illnesses. Each healthcare worker who has direct contact with you should wash their hands prior to any examination or treatment.
  7. Family members and friends can be great advocates for patients. See if you can bring a family member or friend with you when you see a health care professional.
  8. If the doctor does not communicate the results of your test(s) to you, do not assume that no news is good news. Calf and ask the doctor for your results.
  9. Learn as much as you can about your condition. Ask your doctor or nurse to explain it to you and make sure you use reliable sources for all information that you seek.

What you should know about your doctor

  1. In which field has the doctor been trained?
  2. Is the doctor "Board Certified"?
  3. Does the physician participate in your health insurance plan?
  4. What hospitals does the physician refer patients to?
  5. Does the doctor have an emergency number and can he or she be reached in times of emergencies?
  6. What are the doctor's office hours?
  7. What is the doctor's policy for returning phone calls?
  8. Whom should you speak with if the doctor is not available?
  9. Where is the office located, including street address and phone number?
  10. Is access to the doctor's office easy for patients with reduced mobility?

What you should tell your doctor when you visit

  1. Previous hospitalizations and for what reason.
  2. List of all medications you are taking, their dosages, and when you last took them.
  3. Last time you saw a physician and for what reason.
  4. Names and phone numbers of any specialists you have seen.
  5. Health habits, which may include smoking, alcohol, and/or drug use, exercise, bladder control, and memory.
  6. Any type of problems or changes in your health status.
  7. Your family health history.
  8. Any supplements that you may be taking and when you last took them.

Questions you might ask relating to Illness or symptom(s)

  1. What's wrong with me?
  2. Can you draw a picture or show me what is wrong?
  3. What causes this kind of problem?
  4. Can l give this illness to someone else, and if so, how and for what period of time can I pass this on?
  5. Are there any activities or foods which I should avoid?
  6. When can I return to work or school?
  7. What is the long~term prognosis of my condition?
  8. How can I prevent this from happening again?
  9. How will this problem affect me in the future?
  10. What will happen if I don't treat my condition right away?
  11. What treatment should I follow, including dietary, medical treatment, and lifestyle changes?
  12. When do I need to see the doctor again?
  13. Where can I get more information on my condition?

Questions you might ask about medications that are prescribed to you

  1. What is the name of the medication?
  2. Why do I need this particular medication?
  3. How and when should I take this medication?
  4. How long should I take the medication?
  5. Whet are the possible side effects of this medication?
  6. Is this medication safe to take with other medications I am taking?
  7. What do I do if side effects occur?
  8. How often will I need to get the medication refilled?
  9. How will I know if the medication is working?
  10. What are the risks of not taking the medication?
  11. Is this a brand name or generic name?
  12. Are there less expensive medications for my condition?

Questions you might ask about surgery or a procedure

  1. When do I check in to the hospital and where?
  2. What can I exped to happen before the surgery or procedure?
  3. How long will the procedure take?
  4. Can my family go with me?
  5. What effects will the procedure have on me in the short and long term?
  6. What is the doctor's experience in perfonning the procedure?
  7. What medications will be given to me?
  8. How long will I have to rest at home after the procedure?

Questions you might ask about diagnostic tests or procedures

  1. Why is this test necessary?
  2. What will happen if I do not have the test?
  3. Are there any risks involved?
  4. Will it hurt? If so is there anything I can do to lessen the pain?
  5. Can the doctor perfonn the test in the office or will I have to go to the hospital or the laboratory?
  6. Is there any preparation for the test?
  7. What are the side effects of the test?
  8. What changes or effects should I report to the doctor?
  9. Who will call me with the results of this test?
  10. How long will it take for me to get the results?

Questions you might ask about a hospital

  1. Is the hospital a teaching hospital?
  2. How many patients have this procedure in this hospital each year?
  3. Is the hospital accredited and by what organization?
  4. Where do I check in? When? What will 1 need?
  5. Do l need a pre-operative visit to the hospital?
  6. What services does the hospital offer that are specifically helpful to the type of procedure that l am going to have?
  7. What is the hospital's policy on family members staying overnight with the patient?
 

Banish the Paper Blizzard, Part 5: How do I go paperless?

Redundancy, redundancy, redundancy.  Did I mention backups?

The most important factor to consider when implementing a paperless office is redundancy.  Redundancy is important at many steps in the paperless office workflow.  For instance, it is important to have multiple backups of your data across at least two locations to ensure against loss in a fire or other catastrophic event.  Redundancy is also important with respect to ensuring that electronic documents are correctly entered into your system.  Your network administrator will be able to identify a redundancy solution that works for you.

Security

As stated above, a competent network administrator is already necessary to your practice in order to comply with ethical and practical requirements.  In connection with implementing a paperless office, your network administrator should perform a security audit to confirm that your systems are secure.

Equipment and workflows

In implementing a paperless office, you will need to identify your current software and hardware configurations and evaluate whether you need to add additional scanning equipment, practice management software, or paper capture software.  You will need equipment having enough monthly duty cycles to handle your firm’s paper usage, and the software should be configurable to minimize user interaction beyond scanning, naming, and saving documents in the appropriate file.  Your network administrator will be able to assist you with designing a hardware, software, and workflow configuration for implementing your own paperless office according to your specific needs.

The purpose of this series is not to peddle specific gadgets or software, which is why no recommendations about specific products are made in these materials.  Rather, this course aims to teach the concepts underlying a framework upon which a less paper-reliant practice may be built.  Modern practice management demands something very different than technological snake-oil requiring minimal user input from your practice.  For most law firms, effective paper management necessitates a change in philosophy about when paper is truly necessary.

Depending on your current configuration, you will need to consider whether moving to a paperless office makes sense.  When one considers the costs of time, maintenance, disposal, and environmental impact of printing thousands of reams of paper each year, it makes sense to minimize the use of paper when possible.

One last thing…

I would recommend that all litigation attorneys who have paperless offices take small laser printers to evidentiary hearings and trials.  In our practice, we always prepare our anticipated evidence for hearings and trials, but occasionally we need to submit a document that we don’t already have in paper.  Sometimes paper is necessary, and a small printer helps tremendously in such a situation.

The Daily Show on Human Gene Patents

From the Daily Show, host John Oliver and deranged millionaire John Hodgman discuss human gene patents:

All kidding aside, this clip discusses a serious issue of patent law. The very first patent law, 35 U.S.C. § 101, says: "Whoever invents or discovers any new and useful process, machine, manufacture, or composition of matter, or any new and useful improvement thereof, may obtain a patent therefor[.]" This doesn't include laws of nature (like E=mc²) or discoveries of natural things (like genes or a type of diamond). Patenting a gene would be like patenting a leaf off a rare, exotic tree — perhaps it took work to locate it, but the tree species itself had already been there for thousands of years. 

Many large companies, particularly in the pharmaceutical industry, apply for thousands of patents every year. This is one reason why prescription drugs and medical testing devices are so expensive. Unfortunately for consumers, many of these patents are of questionably quality because they cover slightly modified uses for old drugs or don't cover patentable subject matter.  If low-quality patents like human gene patents can be weeded out, perhaps we can ease the crisis of the ballooning costs of health care in this country. 

What do you think about patents on laws of nature and discoveries of natural things like genes?